Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $15,848.93	Facility		$1,737.80	$2,187.76	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $2,238.72	Professional		$812.83	$1,819.70	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $7,943.28	Facility		$1,148.15	$1,737.80	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $1,778.28	Facility		$1,412.54	$1,698.24	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $2,238.72	Facility		$1,023.29	$1,479.11	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $21,379.62	Facility		$12,882.50	$17,378.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $26,302.68	Facility		$3,019.95	$20,892.96	$26,302.68